Medical Coder (CCS / CIC)

You will review inpatient clinical documentation and create precise annotations that help improve AI systems. The work requires applying inpatient coding rules to complete medical records and explaining unclear cases.

You will work with admission notes, progress notes, operative reports, consults, laboratory and imaging results, and discharge summaries.

• Identify principal and secondary diagnoses and sequence codes using applicable guidelines.
• Assign ICD-10-CM and ICD-10-PCS codes and Present on Admission indicators.
• Validate MS-DRG assignments, including complications and comorbidities and major complications and comorbidities.
• Apply inpatient coding conventions, UHDDS definitions, official ICD-10-CM and ICD-10-PCS guidance, and AHA Coding Clinic guidance.
• Identify hospital-acquired conditions and patient safety indicators.
• Document ambiguities clearly and provide feedback that improves coding workflows and AI model understanding.

• Language: Fluent in English.
• Required credential: An active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential.
• Required expertise: Hands-on inpatient coding experience and thorough knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.
• You should have strong written and verbal communication skills, close attention to detail, and access to current code sets, official coding guidelines, and MS-DRG grouper tools.
• Experience with acute care, teaching hospital, surgical, trauma, oncology, cardiology, or transplant documentation is valuable. Prior AI training experience is not required.